Abstract
Background:-Globally at least 303,000 women died during pregnancy and childbirth and every day approximately 830 women die from preventable causes related to pregnancy and childbirth. Although institutional delivery has been promoted in Ethiopia, still delivery in a health facility is far lower than other neighboring countries. The aim of this study was to assess utilization of institutional delivery service and associated factors among women of childbearing age in Bule Hora town, West Guji zone, Oromia regional state, Ethiopia
Methods: - Community-based cross-sectional study design with quantitative methods of data collection was employed from February 01 to March 30/2018. A total of 360 childbearing mothers in the Bule Hora town were involved in the study using a systematic sampling method. The instrument was pre-tested on 5% the sample at Gerba town. The data were analyzed by using binary and multivariable logistic regression and statistical associations were measured using odds ratio and 95%CI.
Results: - The prevalence of utilization of institutional delivery services in Bule hora town is 72%. According to this finding age at first pregnancy (AOR: 2.08, 95%CI: 1.768-5.620), educational status of mothers who attended secondary school and above (AOR: 4.613, 95%CI: 1.096-11.912) and primary school attended mothers (AOR:3.18, 95%CI: 2.406-3.443), educational status of husbands who attended secondary school and above (AOR: 4.91, 95%CI: 10.792-30.441)and primary school attended (AOR: 2.13, 95%CI: 8.359-12.616), spousal communication about place of delivery (AOR: 4.27, 95%CI: 1.823-10.004), husbands occupations (AOR: 2.94, 95%CI: 2.734-5.137), current antenatal care (AOR: 46.74, 95%CI: 16.778-30.210), and parity three and less children (AOR: 6.97, 95%CI: 1.305-37.212 were had a strong statistical association with utilization of institutional delivery service.
Conclusions: - The finding shows the utilization of institutional delivery service in Bule Hora town is higher than a national figure but lower than the national target of skilled delivery. Policymaker and health institutions should have to strength and create awareness of the community on the importance of institutional delivery and use of ANC service in order to screen and detect early signs of disease, followed by timely intervention.
Institutional Delivery Service Utilization among Women from Rural Districts of Wolaita and Dawro Zones, Southern Ethiopia; a Community Based Cross-Sectional Study
